HomeMy WebLinkAbout26-4495 STATE OF II I III 1 IIIllI111IN II II I REPORT NO. EH10651 170
27
COLLISION REP FIT 1591971
CASE 26-4495 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
cowsloN 06 - 09 - 2026 1945 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 2812
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2535088849 0 11
30
6� LAST NAME KRYSHCHUK FIRSTNAME OLHA MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 35001 ST#101 CITY AUBURN ST WA ZIP 98002 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 7 HIP PAINF INJURIES z❑
3
10 9❑ P1 aT�S� CHR0415 sTArI WAurN# 1HGCR2F32FA125103
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 3 3 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 3 34
13 3 2015 HOND ACCOR SD DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO SAFECO H2605739 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGALLYE LE CHARGE 1 5 36
15 2 re5 No clTAnoN# 6A0276389 IMPROPER LANE USAGE o aorrob
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UN�T 0' ❑✓ ❑ PEDESTRIAN ❑ ❑ D.8 089001745
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME BUMANGLAG FIRST NAME HUNTER-FRANCIS MIDDLE M
INITIAL
17 STREET❑ NEW ADDREss❑' 2950 NE 11TH ST B501 CITY RENTON ST WA ZIP 98056 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK yEs It I NOF YES
t l NoF,/
19 LICENSE# STATE WA SEX M M D.C.B. 05 _ 08 _ 1999 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CNK3678 TArE 41
WA VIN 1 7MUBAABG8RV111272 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
I
VEH YEAR 2024 MAKE 7'Oy7' MODEL CORO!! STYLE $D DAMjVEHlAGE TO WED NOO✓ BLIN TOWED BY Gov 44
Yr
H YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 988212653IN 1--E ❑ ,J� CITATION# CHARGE25 GQ
LEGALLY YES N`L J
s � e
7JASON
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26TURNER 12650 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH10651
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4495
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BILL/NGSLY ETERNITYA
(LAST FIRST,
ADDRESS&PHONE#
2950 NE 11TH ST APT 8501 RENTON WA 98056 SEXi F MMDOYyry 09 - 01 - 1999
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS❑ UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT USE 2 CLASS 7 MINOR PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYVYY
PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JASON TURNER 06-09-26 11:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 7691 1 6/10/2026 8:47:18 PM
BADGE OR ID# ( 12650 CRI#' WA0171300 TIME POLICE DISPATCHED! 7:50 PM TIME POLICE ARRIVED',7:54 PM
FART I PAGE IT]OF 4]
REPORT NO. EH10651 CASE# 26-4495 OF COLLISION
06/09/26 19:45
OF CbLLI510N
NARRATIVE
Unit 1: Black 2015 Honda Accord (WA LIC: CHR0415) driven by Olha M. Kryschuck.
Unit 2: Blue 2024 Toyota Corolla Cross (WA LIC: CNK3678) driven by Hunter-Francis M. Bumanglag
Unit 2 was driving eastbound in the 2800 block of NE Sunset Blvd in the left lane. Unit 1 pulled out of
a nearby business parking lot and proceeded eastbound in the 2800 block of NE Sunset Blvd in the
right lane. Unit 1 began to change lanes, attempting to merge into the left lane. Unit 2 was directly
next to Unit 1 as they merged lanes. Unit 1's front bumper then collided with the front bumper of Unit
2.
Both vehicles were disabled because of the damage. Unit 1 had significant damage to the driver's
side front bumper and driver's side front tire. Unit 2 had significant damage to the front bumper as
well as fluid leaking from the vehicle. Both vehicles required tows.
Unit 1 reported that they had minor pain in their hip, they refused to be evaluated by the fire
department. The driver of unit 2 reported no injuries. The passenger of Unit 2 reported minor pain to
their body and were evaluated by the fire department and not transported.
At this time I find that the proximate cause of the collision was Unit 1's failure to safely change lanes.
Unit 1 failed to check for nearby vehicles before changing lanes.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by J. Turner 12650 on 05/09/2026 at 2254 hours
PAGE 3 OF 4
REPORTNO.! EH10651 CASE# 26-4495 DATE AND TIME 06/09/2619:45
OF COLLISION
g`
a
ti
ym�
3
ti
F4 a ,i
a
x
PAGE 4 OF 4